| NPI | 1275909566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS AQUINAS RASKAUSKAS President/CEO 203-275-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |